Apparatuses for detecting and/or diagnosing swallowing disorders

ABSTRACT

Apparatuses for detecting swallowing disorders and methods for using same are provided. In a general embodiment, the apparatuses include a disposable sensor base and a sensor that is received by the disposable sensor base. The sensor base includes a sensor interface having a predetermined cut-away shape and a directionally-keyed mating surface. The sensor includes a handle portion having a shape that corresponds to the predetermined shape of the sensor interface, a support portion configured to be received by the directionally-keyed mating surface when the sensor is inserted into the sensor interface, and electronics configured to collect data sensed by the sensor. The apparatuses of the present disclosure can be attached to a patient&#39;s neck to detect and/or diagnose swallowing disorders during a swallowing test.

PRIORITY CLAIMS

This application is a divisional of U.S. application Ser. No. 14/406,974filed Dec. 10, 2014, which is a National Stage of InternationalApplication No. PCT/EP13/062820 filed Jun. 19, 2013, which claimspriority to Provisional Application Ser. No. 61/661,639 filed Jun. 19,2012, the entire contents of which are incorporated herein by reference.

BACKGROUND

The present disclosure is directed to diagnostic apparatuses. Morespecifically, the present disclosure is directed to apparatuses fordetecting or diagnosing swallowing disorders.

Dysphagia is the medical term for the symptom of difficulty inswallowing. Epidemiological studies estimate a prevalence rate of 16% to22% among individuals over 50 years of age.

Esophageal dysphagia affects a large number of individuals of all ages,but is generally treatable with medications and is considered a lessserious form of dysphagia. Esophageal dysphagia is often a consequenceof mucosal, mediastinal, or neuromuscular diseases. Mucosal (intrinsic)diseases narrow the lumen through inflammation, fibrosis, or neoplasiaassociated with various conditions (e.g., peptic stricture secondary togastroesophageal reflux disease, esophageal rings and webs, esophagealtumors, chemical injury, radiation injury, infectious esophagitis, andeosinophilic esophagitis). Mediastinal (extrinsic) diseases obstruct theesophagus by direct invasion or through lymph node enlargementassociated with various conditions (tumors, infections, andcardiovascular). Neuromuscular diseases may affect the esophageal smoothmuscle and its innervation, disrupting peristalsis or lower esophagealsphincter relaxation, or both, commonly associated with variousconditions (achalasia, scleroderma, other motility disorders, and aconsequence of surgery). It is also common for individuals withintraluminal foreign bodies to experience acute esophageal dysphagia.

Oral pharyngeal dysphagia, on the other hand, is a very seriouscondition and is generally not treatable with medication. Oralpharyngeal dysphagia also affects individuals of all ages, but is moreprevalent in older individuals. Worldwide, and oral pharyngeal dysphagiaaffects approximately 22 million people over the age of 50. Oralpharyngeal dysphagia is often a consequence of an acute event, such as astroke, brain injury, or surgery for oral or throat cancer. In addition,radiotherapy and chemotherapy may weaken the muscles and degrade thenerves associated with the physiology and nervous innervation of theswallow reflex. It is also common for individuals with progressiveneuromuscular diseases, such as Parkinson's Disease, to experienceincreasing difficulty in swallowing initiation. Representative causes oforopharyngeal dysphagia include those associated neurological illnesses,infectious illnesses, autoimmune illnesses, metabolic illnesses,myopathic illnesses, iatrogenic illnesses, post surgical muscular orneurogenic, radiation therapy, corrosive, and structural illnesses.

Dysphagia has major consequences on patient health and healthcare costs.Individuals with more severe dysphagia generally experience a sensationof impaired passage of food from the mouth to the stomach, occurringimmediately after swallowing. Among community dwelling individuals,perceived symptoms may bring patients to see a doctor. Amonginstitutionalized individuals, health care practitioners may observesymptoms or hear comments from the patient or his/her family membersuggestive of swallowing impairment and recommend the patient beevaluated by a specialist. As the general awareness of swallowingimpairments is low among front-line practitioners, dysphagia often goesundiagnosed and untreated. Yet, through referral to a swallowingspecialist (e.g., speech language pathologist), a patient can beclinically evaluated and dysphagia diagnosis can be determined.

The general awareness of swallowing impairments is low among front-linepractitioners. Many people (especially those who are elderly) sufferwith undiagnosed and untreated swallowing impairments. One reason isthat front-line community care practitioners (e.g., generalpractitioners/geriatricians, home care nurses, physical therapists,etc.) do not typically screen for the condition. If they are aware ofthe severity of swallowing impairments, they commonly do not use anevidence-based method of screening. Furthermore, office-based assessmentof dysphagia rarely occurs.

Severity of dysphagia may vary from: (i) minimal (perceived) difficultyin safely swallowing foods and liquids, (ii) an inability to swallowwithout significant risk for aspiration or choking, and (iii) a completeinability to swallow. Commonly, the inability to properly swallow foodsand liquids may be due to food boluses being broken up into smallerfragments, which may enter the airway or leave unwanted residues in theoropharyngeal and/or esophageal tract during the swallowing process(e.g., aspiration). If enough material enters the lungs, it is possiblethat the patient may drown on the food/liquid that has built up in thelungs. Even small volumes of aspirated food may lead to bronchopneumoniainfection, and chronic aspiration may lead to bronchiectasis and maycause some cases of asthma.

A common condition among elderly, is the aspiration of the oropharyngealcontents during sleep. People may compensate for less-severe swallowingimpairments by self-limiting the diet. The aging process itself, coupledwith chronic diseases such as hypertension or osteoarthritis,predisposes elderly to (subclinical) dysphagia that may go undiagnosedand untreated until a clinical complication such as pneumonia,dehydration, malnutrition (and related complications) occurs. Yet, thedifferential diagnosis of ‘aspiration pneumonia’ is not necessarilyindicated as a result of current care practices.

The economic costs of dysphagia are associated with hospitalization,re-hospitalization, loss of reimbursement due to pay for performance,infections, rehabilitation, loss of work time, clinic visits, use ofpharmaceuticals, labor, care taker time, childcare costs, quality oflife, increased need for skilled care. Dysphagia and aspiration impactquality of life, morbidity and mortality. Twelve-month mortality is high(45%) among individuals in institutional care who have dysphagia andaspiration. The economic burden of the clinical consequences arisingfrom lack of diagnosis and early management of dysphagia aresignificant.

Pneumonia is a common clinical consequence of dysphagia. The conditionoften requires acute hospitalization and emergency room visits. Amongthose that develop pneumonia due to aspiration, the differentialdiagnosis of ‘aspiration pneumonia’ is not necessarily indicated as aresult of current care practices. Based on U.S. healthcare utilizationsurveys from recent years, pneumonia accounted for over one millionhospital discharges and an additional 392,000 were attributable toaspiration pneumonia. Individuals who have general pneumonia as theprincipal diagnosis have a mean 6 day hospital length of stay and incurover $18,000 in costs for hospital care. It is expected that aspirationpneumonia would carry higher costs for hospital care, based on a mean 8day length of hospital stay. In addition, an acute insult such aspneumonia often initiates the downward spiral in health among elderly.An insult is associated with poor intakes and inactivity, resulting inmalnutrition, functional decline, and frailty. Specific interventions(e.g., to promote oral health, help restore normal swallow, or reinforcea swallow-safe bolus) would benefit persons at risk for (due toaspiration of oropharyngeal contents, including silent aspiration) orexperiencing recurrent pneumonia.

Similar to pneumonia, dehydration is a life-threatening clinicalcomplication of dysphagia. Dehydration is a common co-morbidity amonghospitalized individuals with neurodegenerative diseases (thus, likelyto have a swallowing impairment). The conditions of Alzheimer's disease,Parkinson's disease, and multiple sclerosis account for nearly 400,000U.S. hospital discharges annually, and up to 15% of these patientssuffer dehydration. Having dehydration as the principal diagnosis isassociated with a mean 4 day length of hospital stay and over $11,000 incosts for hospital care. Nevertheless, dehydration is an avoidableclinical complication of dysphagia.

Malnutrition and related complications can also arise when swallowingimpairment leads to fear of choking on food and liquids, slowed rate ofconsumption, and self-limited food choices. If uncorrected, inadequatenutritional intake exacerbates dysphagia as the muscles that helpfacilitate normal swallow weaken as physiological reserves are depleted.Malnutrition is associated with having a more than 3-times greater riskof infection. Infections are common in individuals withneurodegenerative diseases (thus, likely to have a chronic swallowingimpairment that jeopardizes dietary adequacy). The conditions ofAlzheimer's disease, Parkinson's disease, and multiple sclerosis accountfor nearly 400,000 U.S. hospital discharges annually, and up to 32% ofthese patients suffer urinary tract infection.

Malnutrition has serious implications for patient recovery. Malnourishedpatients have longer length of hospital stay, are more likely to bere-hospitalized, and have higher costs for hospital care. Havingmalnutrition as the principal diagnosis is associated with a mean 8 daylength of hospital stay and nearly $22,000 in costs for hospital care.Furthermore, malnutrition leads to unintentional loss of weight andpredominant loss of muscle and strength, ultimately impairing mobilityand the ability to care for oneself. With the loss of functionality,caregiver burden becomes generally more severe, necessitating informalcaregivers, then formal caregivers, and then institutionalization.However, malnutrition is an avoidable clinical complication ofdysphagia.

Considering the prevalence of dysphagia, possible complications relatedthereto, and the costs associated with same, it would be beneficial toprovide apparatuses and methods for detecting dysphagia earlier and moreaccurately. Such measures would stand to improve the lives of a largeand growing number of persons with swallowing impairments.

SUMMARY

The present disclosure is related to apparatuses for detecting and/ordiagnosing a swallowing disorder. In a general embodiment, an apparatusis provided and includes a disposable sensor base and a sensor. Thedisposable sensor base includes a sensor interface having apredetermined shape and a directionally-keyed mating surface. The sensorincludes a handle portion having a shape that corresponds to thepredetermined shape of the sensor interface, a support portionconfigured to be received by the directionally-keyed mating surface whenthe sensor is inserted into the sensor interface, and electronicsconfigured to collect data sensed by the sensor. The sensor may be adevice selected from the group consisting of an accelerometer, anacoustic device, or combinations thereof.

In an embodiment, the predetermined shape of the sensor interface issubstantially semi-circular and the handle portion has a substantiallycylindrical shape.

In an embodiment, the disposable sensor base further includes at leastone cut-away portion so constructed and arranged to provide flexibilityto the sensor base. The disposable sensor base may also have a curvedshape on a side designed to contact a patient's neck so as to follow theanatomical shape of the patient's neck.

In an embodiment, the directionally-keyed mating surface extends into aninterior portion of the sensor base such that the support portion of thesensor can slide into the directionally-keyed mating surface and fitfully within a perimeter of the disposable sensor base.

In an embodiment, the apparatus includes at least one disposable strapattached to the disposable sensor base. The disposable strap may be soconstructed and arranged to attach the disposable sensor base to anindividual using an attachment mechanism selected from the groupconsisting of an adhesive, velcro, a buckle, a hook and eye closure, abutton, a snap, or combinations thereof. The disposable strap may alsoinclude a rail and the disposable sensor base may include at least oneclasp that slidingly attaches to the rail.

In an embodiment, the electronics are configured to detect a swallowingcondition typically associated with dysphagia. The electronics mayinclude a printed circuit board in communication with a processing unit.

In another embodiment, an apparatus is provided and includes adisposable sensor base and a sensor. The disposable sensor base includesa sensor interface having a directionally-keyed mating surface with atleast one notch. The sensor includes a handle portion, a support portionincluding a projection having a shape that corresponds to a shape of thenotch such that the projection mates with the notch when the sensor isreceived by the sensor interface, and electronics configured to collectdata sensed by the sensor.

In an embodiment, the projection is located on a bottom surface of thesupport portion. The directionally-keyed mating surface may extend intoan interior portion of the disposable sensor base such that the supportportion of the sensor can slide into the directionally-keyed matingsurface and fit fully within a perimeter of the sensor base.

In an embodiment, the handle portion has a shape selected from the groupconsisting of cylindrical, rectangular, square, or combinations thereof.

In an embodiment, the apparatus includes at least one disposable strapattached to the sensor base. The disposable strap may be so constructedand arranged to attach the sensor base to an individual using anattachment mechanism selected from the group consisting of an adhesive,velcro, a buckle, a hook and eye closure, a button, a snap, orcombinations thereof. The disposable strap may also include a rail andthe disposable sensor base may include at least one clasp that slidinglyattaches to the rail.

In an embodiment, the sensor further includes at least one groove on atop surface of the support portion that is configured to preventmovement of the sensor when the sensor is inserted into the disposablesensor base.

In an embodiment, the disposable sensor base may have a curved shape ona side designed to contact a patient's neck so as to follow theanatomical shape of the patient's neck.

In yet another embodiment, a method for detecting a swallowing disorderis provided. The method includes providing an apparatus having adisposable sensor base and a sensor. The disposable sensor base includesa sensor interface having a predetermined shape and adirectionally-keyed mating surface. The sensor includes a handle portionhaving a shape that corresponds to the predetermined shape of the sensorinterface, and a support portion configured to be received by thedirectionally-keyed mating surface when the sensor is inserted into thesensor interface. The method further includes attaching the apparatus toan individual's neck, and sensing, with the sensor, a physiologicaloccurrence during an individual's swallow.

In an embodiment, the method further includes detecting a swallowingdisorder if the physiological occurrence is sufficiently abnormal.

An advantage of the present disclosure is to provide improved diagnosticapparatuses.

Another advantage of the present disclosure is to provide apparatusesfor detecting swallowing disorders.

Another advantage of the present disclosure is to provide apparatusesfor detecting dysphagia.

Yet another advantage of the present disclosure is to provideeasy-to-use, partially disposable diagnostic apparatuses.

Still yet another advantage of the present disclosure is to providemethods for detecting and/or diagnosing swallowing disorders.

Additional features and advantages are described herein, and will beapparent from the following Detailed Description and the figures.

BRIEF DESCRIPTION OF THE FIGURES

FIG. 1 shows a perspective view of an apparatus in accordance with anembodiment of the present disclosure.

FIG. 2 shows a perspective view of a sensor base in accordance with anembodiment of the present disclosure.

FIG. 3 shows a perspective view of a sensor in accordance with anembodiment of the present disclosure.

FIG. 4 shows a side view of the apparatus of FIG. 1 in accordance withan embodiment of the present disclosure.

FIG. 5 shows a perspective view of an apparatus in accordance with anembodiment of the present disclosure.

FIG. 6 shows a perspective view of a sensor in accordance with anembodiment of the present disclosure.

FIG. 7 shows a perspective view of a sensor base in accordance with anembodiment of the present disclosure.

DETAILED DESCRIPTION

As used in this disclosure and the appended claims, the singular forms“a,” “an” and “the” include plural referents unless the context clearlydictates otherwise. Thus, for example, reference to “a polypeptide”includes a mixture of two or more polypeptides, and the like.

While the terms “individual” and “patient” are often used herein torefer to a human, the invention is not so limited. Accordingly, theterms “individual” and “patient” refer to any animal, mammal or humanhaving or at risk for a medical condition that can benefit from thetreatment or use of the apparatus.

The present disclosure relates to apparatuses that may be used to detectand/or diagnose swallowing disorders such as, but not limited to,dysphagia. The present disclosure also relates to methods for detectingand/or diagnosing swallowing disorders.

The normal swallowing of a human (or mammal) involves three distinctphases which are interdependent and well coordinated: (i) the oral, (ii)the pharyngeal, and (iii) the esophageal phases. In the oral phase,which is under voluntary control, food that has been chewed and mixedwith saliva is formed into a bolus for delivery by voluntary tonguemovements to the back of the mouth, into the pharynx. The pharyngealphase is involuntary and is triggered by food/liquid bolus passingthrough the faucial pillars into the pharynx. Contraction of the threeconstrictors of the pharynx propels the bolus towards the upperesophageal sphincter. Simultaneously, the soft palate closes thenasopharynx. The larynx moves upwards to prevent food or liquid passinginto the airway, which is aided by the backward tilt of the epiglottisand closure of the vocal folds. The esophageal phase is also involuntaryand starts with the relaxation of the upper esophageal sphincterfollowed by peristalsis, which pushes the bolus down to the stomach.

Dysphagia refers to the symptom of difficulty in swallowing. Generalcauses of dysphagia have been identified and include, but are notlimited to a decreased ability to swallow, the tongue not exertingenough pressure on the soft palate, abnormal epiglottis behavior, etc.The consequences of untreated or poorly managed oral pharyngealdysphagia can be severe, including dehydration, malnutrition leading todysfunctional immune response, and reduced functionality, airwayobstruction with solid foods (choking), and airway aspiration of liquidsand semi-solid foods, promoting aspiration pneumonia and/or pneumonitis.Severe oral pharyngeal dysphagia may require nutrition to be supplied bytube feeding.

In a general embodiment, the present disclosure provides apparatuses fordetecting and/or diagnosing swallowing disorders (e.g., dysphagia). Theapparatuses of the present disclosure are designed to be in contact witha patient's throat to detect any swallowing disorders during thepatient's swallow. In this respect, the apparatuses may be adhered to apatient's throat or may be configured as a collar, or straps, that canbe tightened and adjusted around a patient's throat during testing. Theskilled artisan will appreciate, however, that the apparatuses need notbe adhered to, or fixed around a patient's throat and may be placedadjacent a patient's throat by any known means so long as the sensor ofthe apparatus is able to detect the necessary swallowingcharacteristics.

As shown in FIG. 1, an apparatus 10 is provided and includes a sensorbase 12, a sensor 14 that mates with sensor base 12, and flexible straps16 attached to sensor base 12. Flexible straps 16 are attached to sensorbase 12 by height adjustment rails 18, which are slideably connected toclasps 20 of sensor base 12 to provide optimal placement of sensor base12 on a patient's throat during testing, regardless of the location offlexible straps 16. Alternatively, however, the skilled artisan willappreciate that apparatus 10 need not include height adjustment rails 18and clasps 20. Instead, and in an alternative embodiment, sensor base 12may be fixed to flexible strap(s) that do not provide for heightadjustment. In another embodiment, sensor base 12 may include anadhesive, or other self-attaching means, and not require the use of anyflexible strap(s) to attach the apparatus to a patient's neck.

In use, apparatus 10 may be affixed to a patient's through usingflexible straps 16, which may include an adhesive to attach theapparatus, or may form a collar-type configuration where ends offlexible straps 16 connect via a connection means (e.g., velcro,adhesive, buckle, button, snap, hook and eye, etc.) to form close arounda patient's neck. Adjustment of flexible straps 16 along or around apatient's neck keeps sensor base 12 in direct contact with the patient'sthroat such that sensor 14 is able to register the physiologicaloccurrences described above in the patient's throat during swallowing.Sensor 14 can then transmit data to a processing unit that caninterpret, store, and recall swallowing data (e.g., accelerationmeasurements) from the current patient, or previously tested patients.This data can then be useful in detecting and/or diagnosing potentialswallowing disorders. In this regard, sensor 14 may be any apparatusthat is capable of detecting and measuring the motion of a patient'shyoid bone. For example, sensor 14 may be an accelerometer, an acousticdevice, or the like.

Sensor base 12 may be manufactured from any known material useful inaccepting and supporting a mated component (e.g., sensor 14). Forexample, sensor base 12 may be manufactured using any known plasticmaterials, light metals, or sturdy cardboard, card stock, paperboard,etc. Similarly, sensor base 12 may have any size or shape known in theart. For example, and as shown in FIG. 2, sensor base 12 may besubstantially square shaped and may range in size from about one-halfinch squared, to about 3 inches squared, or may be about 1 square inch,or about 2 square inches, or the like. Alternatively, sensor base 12 maybe substantially rectangular, circular, or triangular in shape and mayhave any dimensions known in the art. Regardless of the exact size andshape, sensor base 12 should be sized and shaped to comfortably anddirectly contact a patient's throat during testing. In an embodiment,sensor base 12 may be slightly curved so as toanatomically/physiologically adapt to a patient's neck when sensor base12 is in contact with a patient's neck. In this regard, a side of sensorbase 12 that contacts patient's neck should be curved so as to followthe natural shape of the patient's curved neck. This shape allows sensor14 to more closely track the motion of the hyoid bone during swallowing.

As shown in FIG. 2, a first surface 22 of sensor base 12 includes asensor interface portion 24 and at least one slot 26, which provides aleaf-spring type function to afford sensor base 12 with flexibility toprevent damage to sensor base 12 during insertion of sensor 14, and toallow for easy insertion of sensor 14. A second surface (not shown) ofsensor base 12, which is opposite first surface 22, may be substantiallyflat in order to comfortably and directly contact a patient's throatduring testing. In an embodiment, the second surface of sensor base 12may include an adhesive to ensure direct contact of sensor base 12 withthe patient's throat during testing.

Sensor interface 24 of sensor base 12 is configured to mate with sensor14. In this regard, sensor interface 24 is configured as a shapedcut-away portion 28 on first surface 22 having a directionally-keyedmating surface 30 that imposes orientational constraint, such as a slitlocated on a bottom side of sensor base 12. As used herein, a “cut-away”portion is a portion of a surface (e.g., first surface 22) that has beenremoved such that a remaining portion of the surface, or an outline ofthe cut-away portion, forms a shape. Additionally, as used herein, a“slit” refers to a portion of sensor base 12 that is removed from aninterior portion of sensor base 12 (e.g., a hollow portion of sensorbase 12). The directionally-keyed mating surface 30, such as a slit, mayimpose orientational constraint by imposing rotational and translationalcontraints. In an embodiment, slit 30 is a substantially rectangularshaped, hollow portion that extends into an interior, middle portion ofsensor base 12 in a direction that is substantially parallel to firstsurface 22 of sensor base 12. In use, sensor 14 is slid into slit 30 andis snap-fit, or otherwise fit, into cut-away portion 28 on sensorinterface 24.

To accommodate the mating of sensor 14 and sensor base 12, sensorinterface 24 may have a shape that is wider at a bottom portion toeasily accept sensor 14, and narrows or tapers to a predetermined shapethat may be used, at least in part, to snap-fit sensor 14 in cut-awayportion 28 of sensor interface 24. For example, and as shown in FIG. 2,sensor interface 24 is wider at a bottom portion and tapers inward andupward toward a substantially semi-circular shape that is so constructedand arranged to accept the shape of a substantially cylindrical sensor14. The semi-circular shape, or a shape that is slightly more circularthan semi-circular, of sensor interface 24 may be used to help snap-fitsensor 14 within sensor interface 24. Alternatively, the skilled artisanwill appreciate that sensor interface 24 need not be limited to a shapethat corresponds to a shape of sensor 14, but may have any shape knownin the art.

As shown in FIG. 2, slit 30 of sensor base 12 may include one or morenotched portions 32 that are so constructed and arranged to cooperatewith one or more of a projection of sensor 14 as sensor 14 is slid intosensor base 12. In this regard, notched portions 32 ensure properalignment of sensor 14 in sensor base 12. Notched portions 32 may alsoensure that sensor bases 12 are only manufactured and sold for use withauthorized sensors, which include correspondingly shaped projections, aswill be discussed further below.

Sensor base 12 may also include at least one small projection (notshown) that extends downward from a top portion of slit 30 to interactwith at least one indented portion 40 of sensor 14. The interaction ofthe small projection in slit 30 and indented portion 40 ensure thatsensor 14 is securely and tightly fitted in sensor base 12 when sensor14 and sensor base 12 are mated. In this regard, the small, downwardextending projection presses downward onto indented portion 40,eliminating any free space in which sensor 14 can move. This pressessensor 14 securely against a bottom of slit 30 and prevents sensor 14from moving after insertion or falling out of sensor base 12.

FIG. 3 illustrates an embodiment of a sensor 14 of the presentdisclosure, which includes a handle portion 34 and a support portion 36.Handle 34 may have any size and shape known in the art that is usefulfor gripping and handling during assembly of apparatus 10 and for easeof use during testing. In an embodiment, and as shown in FIG. 3, handle34 may be substantially circular in cross-section such that handle 34has an overall cylindrical shape. Regardless of the particular size andshape of handle 34, however, it should be sized and shaped to properlyfit into sensor interface 24, as discussed above. For example, handle 34of FIG. 3 has a substantially circular cross-section that is configuredto mate with the substantially semi-circular shape of the upper portionof sensor interface 24. This corresponding fit helps to ensure a securefit and proper alignment of sensor 14 in sensor base 12.

As shown in FIG. 3, support 36 of sensor 14 has a substantially flat topsurface 38 including handle 34. In an embodiment, support 36 alsoincludes an indentation 40 that is sized and shaped to mate with thesmall projections (not shown) on a top portion of slit 30 to ensure asecure fit and proper alignment of sensor 14 in sensor base 12.Indentation 40 may be any size or shape known in the art so long asindentation 40 correspondingly engages the small projections on a topportion of slit 30. For example, indentation 40 may be substantiallyelongated, or rectangular, in shape. Support 36 may include any numberof indentations 40 including, for example, one, two, three, four or fiveindentations 40. In an embodiment, support 36 includes two,substantially rectangular indentations 40.

Support 36 also includes a bottom surface 42 having a projection 44 thatis sized and shaped to mate with notches 32 of slit 30. Projection 44may be any size or shape known in the art so long as projection 44correspondingly engages notches 32. Due to the corresponding engagementof projection 44 with notch 32, projection 44 may be used to help guidesensor 14 into sensor base 12. Additionally, projection 44 may alsoensure that sensors 14 are only manufactured and sold for use withauthorized sensor bases, which include correspondingly shaped notches.Support 36 may include any number of projections 44 including, forexample, one, two, three, four or five projections 44. In an embodiment,support 36 includes two projections 44 that mate with two notches 32 ofslit 30.

In an embodiment, sensor 14 includes electronics 46 that are configuredto transmit swallowing data from a patient to a processing unit.Electronics 46 may include, for example, a printed circuit board (notshown) in sensor 14, as well as wires or wireless transmitters totransmit the data collected during a swallowing test to a processingunit. The processing unit may be any suitable processing device that isable to provide and receive information and to execute instructions(e.g., computer programs). The processing unit may also be capable ofaccessing databases, manipulating data, calculating values and sendingresults of calculations to an output (e.g., display device, personaldigital assistant, mobile wireless device, etc). By way of example onesuch device is an iPad available from Apple computers.

FIG. 4 illustrates an assembled apparatus 10 that is ready to be usedfor a swallowing test. As shown in FIG. 4, sensor 14 has been slid intoslit 30 of sensor base 12 and projections 44 are mated with notches 32.Sensor 14 may be inserted into sensor base 12 either before or afterattachment of sensor base 12 to patient's neck or throat to perform aswallowing test. The patient's neck may be sterilized prior to placementof the apparatus on the patient's neck. In an embodiment, sensor base 12may also include an arrow, dot, asterisk, target, or any other suchindicator (not shown) to designate a location on sensor base 12 thatshould be positioned with respect to the patient's Adam's Apple (i.e.,laryngeal prominence) to follow and/or mimic the motion of the hyoidbone in order to properly measure a signal amplitude during theswallowing test.

During the swallowing test, sensor 14 collects (and can transmit) datato a processing unit that is representative of a number of differentcharacteristics of the patient's swallow (e.g., accelerationmeasurements, amplitudes, etc.). The data can be used to detect anyabnormalities or inconsistencies of the patient's swallow, which canhelp to diagnose whether the patient has any swallowing disorders suchas, for example, dysphagia.

After use in the patient swallowing test, the assembly of sensor base 12and/or flexible straps 16 may be discarded or disposed of. For thisreason, assemblies of sensor base 12 and/or flexible straps 16 may bemade of less expensive materials that are disposable, biodegradable,etc. In contrast, sensors 14 include expensive electronics that arecostly to replace. Thus, sensors 14 are likely to be made of moredurable materials that are not disposable or biodegradable, or would becostly to replace. Due to the partially disposable nature of thedevices, apparatuses 10 of the present disclosure provide the costbenefit of not requiring fully replacement before performing aswallowing test on a new patient. Instead, sensors 14 may be mated withnew assemblies of sensor base 12 and/or flexible straps 16 and reusedfor a new patient swallowing test.

FIG. 5 illustrates an alternative embodiment of an apparatus 10 of thepresent disclosure. In the alternative embodiment, the sensor includes asubstantially rectangular-shaped handle that may be easier for certainpatients, technicians, or physicians to use during testing.

FIGS. 6 and 7 illustrate an embodiment of an apparatus 10 of the presentdisclosure in which sensor interface 24 of sensor base 12 mates withsensor 14. A portion of sensor 14 may have a spherical shape, and thedirectionally-keyed mating surface 30 that imposes orientationalconstraint may receive the spherical portion of sensor 14. For example,projection 44 on bottom surface 42 of sensor 14 can have a substantiallyspherical shape, such as by being a dome, and the directionally-keyedmating surface 30 in sensor base 12 may be a slot having a shape thatcorresponds to the spherical shape of projection 44. The interaction ofspherical projection 44 and directionally-keyed mating surface 30 ensurethat sensor 14 is securely and tightly fitted in sensor base 12 whensensor 14 and sensor base 12 are mated. In an embodiment, sphericalprojection 44 can form support portion 36, and a portion of sensor 14above the spherical projection 44 can form handle portion 34.

Directionally-keyed mating surface 30 may be formed in a portion ofsensor base 12 that is removed from an interior portion of sensor base12 (e.g., a hollow portion of sensor base 12). Directionally-keyedmating surface 30 may be a hollow portion that extends into an interior,middle portion of sensor base 12 and is configured to receive and matewith spherical projection 44 of sensor 14. In use, sensor 14 slides intodirectionally-keyed mating surface 30 and is snap-fit, or otherwise fit,into directionally-keyed mating surface 30.

One or more notched portions 32 of directionally-keyed mating surface 30may be constructed and arranged to receive rounded lateral surfaces ofspherical projection 44 as sensor 14 slides into sensor base 12. In thisregard, one or more notched portions 32 ensure proper alignment ofsensor 14 in sensor base 12. Notched portions 32 may also ensure thatsensor bases 12 are only manufactured and sold for use with authorizedsensors.

In still yet another embodiment, methods for detecting and/or diagnosinga swallowing disorder are provided. The methods include providing anapparatus of the present disclosure, attaching the apparatus to the neckof a patient, and performing a swallowing test. The methods may furtherinclude sliding a sensor into a sensor interface of a sensor base,adjusting the height of a sensor base along height adjustment rails ofan apparatus strap, adhering a sensor base to the patient's neck,collecting swallowing data, transmitting swallowing data, analyzingswallowing data, and diagnosing a swallowing disorder if a detectedphysiological swallowing occurrence or characteristic is sufficientlyabnormal.

By using the improved apparatuses and methods of the present disclosure,swallowing disorders can be more easily detected and/or diagnosed, whichprovides patients with numerous physical, emotional and economicalbenefits. Such advantages include, but are not limited to earlydetection of a swallowing disorder, earlier treatment of a swallowingdisorder, an overall healthier condition of the patient, prevention offurther health-related decline, and reduced medical costs associatedwith swallowing disorders.

It should be understood that various changes and modifications to thepresently preferred embodiments described herein will be apparent tothose skilled in the art. Such changes and modifications can be madewithout departing from the spirit and scope of the present subjectmatter and without diminishing its intended advantages. It is thereforeintended that such changes and modifications be covered by the appendedclaims.

The invention is claimed as follows:
 1. An apparatus comprising: adisposable sensor base comprising a sensor interface having apredetermined shape and a directionally-keyed mating surface; and asensor comprising a handle portion having a shape that corresponds tothe predetermined shape of the sensor interface, a support portionconfigured to be received by the directionally-keyed mating surface whenthe sensor is inserted into the sensor interface, and electronicsconfigured to collect data sensed by the sensor.
 2. The apparatus ofclaim 1, wherein the predetermined shape of the sensor interface issubstantially semi-circular and the handle portion has a substantiallycylindrical shape.
 3. The apparatus of claim 1, wherein the disposablesensor base comprises at least one slot that is so constructed andarranged to provide flexibility to the disposable sensor base.
 4. Theapparatus of claim 1, wherein the directionally-keyed mating surfaceextends into an interior portion of the disposable sensor base such thatthe support portion of the sensor can slide into the directionally-keyedmating surface and fit fully within a perimeter of the disposable sensorbase.
 5. The apparatus of claim 1 comprising at least one disposablestrap attached to the disposable sensor base, the disposable strap is soconstructed and arranged to attach the disposable sensor base to anindividual using an attachment mechanism selected from the groupconsisting of an adhesive, velcro, a buckle, a hook and eye closure, abutton, a snap, and combinations thereof.
 6. The apparatus of claim 5,wherein the disposable strap includes a rail and the disposable sensorbase includes at least one clasp that slidingly attaches to the rail. 7.The apparatus of claim 1, wherein the disposable sensor base comprises acurved shape on a side configured to contact a patient's neck so as tofollow the anatomical shape of the patient's neck.
 8. The apparatus ofclaim 1, wherein the sensor comprises a device selected from the groupconsisting of an accelerometer, an acoustic device, and combinationsthereof.
 9. The apparatus of claim 1, wherein the electronics areconfigured to detect a swallowing condition typically associated withdysphagia.
 10. An apparatus comprising: a disposable sensor basecomprising a sensor interface having a directionally-keyed matingsurface comprising at least one notch; and a sensor comprising a handleportion, a support portion including a projection having a shape thatcorresponds to a shape of the notch such that the projection mates withthe notch when the sensor is received by the sensor interface, andelectronics configured to collect data sensed by the sensor.
 11. Theapparatus of claim 10, wherein the projection is located on a bottomsurface of the support portion.
 12. The apparatus of claim 10, whereinthe directionally-keyed mating surface extends into an interior portionof the disposable sensor base such that the support portion of thesensor can slide into the directionally-keyed mating surface and fitfully within a perimeter of the disposable sensor base.
 13. Theapparatus of claim 10, wherein the handle portion has a shape selectedfrom the group consisting of cylindrical, rectangular, square, andcombinations thereof.
 14. The apparatus of claim 10 further comprisingat least one disposable strap attached to the disposable sensor base,the disposable strap is so constructed and arranged to attach thedisposable sensor base to an individual using an attachment mechanismselected from the group consisting of an adhesive, velcro, a buckle, ahook and eye closure, a button, a snap, and combinations thereof. 15.The apparatus of claim 14, wherein the at least one disposable strapincludes a rail and the disposable sensor base includes at least oneclasp that slidingly attaches to the rail.
 16. The apparatus of claim10, wherein the disposable sensor base comprises a curved shape on aside configured to contact a patient's neck so as to follow theanatomical shape of the patient's neck.
 17. The apparatus of claim 1,wherein the sensor further includes at least one indentation on a topsurface of the support portion that is configured to prevent movement ofthe sensor when the sensor is inserted into the disposable sensor base.18. A method for detecting a swallowing disorder, the method comprising:using an apparatus comprising a disposable sensor base comprising asensor interface having a predetermined shape and a directionally-keyedmating surface, and a sensor comprising a handle portion having a shapethat corresponds to the predetermined shape of the sensor interface, anda support portion configured to be received by the directionally-keyedmating surface when the sensor is inserted into the sensor interface;attaching the apparatus to an individual's neck; and sensing, with thesensor, a physiological occurrence during an individual's swallow. 19.The method of claim 18 comprising diagnosing a swallowing disorder ifthe physiological occurrence is sufficiently abnormal.